Active NPI
Stephanie B Gifford, OTR/L
- Occupational Therapist
- Brighton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009101
- Practice address
- 8491 W Grand River Ave Ste 600
Brighton, MI 48116-4359 - Phone
- (810) 225-1187
- Fax
- (810) 225-1284
- NPI assigned
- Jan 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3909-026 | WI | |
| Occupational Therapist | 225X00000X | 5201009101 | MI | Primary |
Addresses
Primary practice location
8491 W Grand River Ave Ste 600
Brighton, MI 48116-4359
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40871800 35/074 | Medicaid | WI |
Other names 1
- Stephanie S Baldwin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201009101 | MI | MD | Occupational Therapist |
| 3909-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap Therapy LLC | Occupational Therapist | Current | Accepting new patients |
| Ap Therapy LLC | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc | Occupational Therapist | Current | Accepting new patients |
Locations
2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654
1297 US Highway 27 N
Lake Placid, FL 33852
Phone (407) 276-5023
8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979
1651 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 934-1000
38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Interoperability endpoints
- stephanie.gifford.p4@direct.athleticoltd.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1366413965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6250",
"fax_number": "630-575-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8491 W GRAND RIVER AVE STE 600",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481164359",
"telephone_number": "810-225-1187",
"fax_number": "810-225-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "STEPHANIE",
"middle_name": "B",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3909-026",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40871800 35/074",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "BALDWIN",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.